Provider Demographics
NPI:1124450150
Name:JONES, ALEXANDRA M (PHARMD, RPH)
Entity type:Individual
Prefix:
First Name:ALEXANDRA
Middle Name:M
Last Name:JONES
Suffix:
Gender:F
Credentials:PHARMD, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:36 BRICKYARD RD
Mailing Address - Street 2:UNIT 33
Mailing Address - City:ESSEX JUNCTION
Mailing Address - State:VT
Mailing Address - Zip Code:05452-4415
Mailing Address - Country:US
Mailing Address - Phone:231-730-3007
Mailing Address - Fax:
Practice Address - Street 1:108 CORNERSTONE DR
Practice Address - Street 2:RITE AID
Practice Address - City:WILLISTON
Practice Address - State:VT
Practice Address - Zip Code:05495-4034
Practice Address - Country:US
Practice Address - Phone:802-878-1118
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-08-01
Last Update Date:2013-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT033.0094985183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist